| NPI | 1548313166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00003050) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00034331) |
| 101YP2500X Counselor Professional (Licence: WA HP10001250) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-02-09 |