| NPI | 1669621819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60390547) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60109651) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60109651) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60173888) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2018-12-04 |