| NPI | 1548807175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61021630) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61021630) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2023-06-20 |