| NPI | 1730720707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60974877) |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-03-13 |