| NPI | 1629463617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO 60521530) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60763564) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60763564) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2021-10-22 |