| NPI | 1740629260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00003380) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC70085915) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2026-03-23 |