| NPI | 1609247766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60465887) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2024-04-09 |