| NPI | 1770921355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60556779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60548687) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2019-01-08 |