| NPI | 1811620511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDPT.CO.70105850) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: WA NC61159336) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2026-04-07 |