NPI | 1629130299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006159) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009179) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2021-12-21 |