| NPI | 1558816025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60502359) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60306385) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |