| NPI | 1821363607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60389566) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60639263) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2018-10-18 |