| NPI | 1548940133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO61471085) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-10-17 |