| NPI | 1639322522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005551) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: WA CG60156403) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60156403) | |
| 101Y00000X Counselor (Licence: WA CG60156403) | |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2013-03-22 |