| NPI | 1598591448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60824380) |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |