| NPI | 1639809270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61331644) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60936575) |
| 101Y00000X Counselor (Licence: WA CAAR.CG.70018184) | |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-09-29 |