| NPI | 1639649676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61034181) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: WA 60741359) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2022-02-01 |