| NPI | 1548927890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61202438) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61247527) |
| 101Y00000X Counselor | |
| 175T00000X Peer Specialist (Licence: WA CG61246155) | |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2022-10-18 |