| NPI | 1629527718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60532732) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60404199) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60521887) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |