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 |