| NPI | 1609239870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP 00002128) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60652818) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2018-10-18 |