NPI | 1811031099 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00000390) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00003988) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2024-05-25 |