| NPI | 1700394426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60490075) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2019-11-21 |