| NPI | 1801770227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 103TA0400X) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: WA 103TA0400X) |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |