NPI | 1740996313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60621406) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61481911) | |
Enumeration Date | 2023-01-26 |
Last Update Date | 2025-08-09 |