| NPI | 1568989788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60336482) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2019-11-22 |