| NPI | 1851110605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA co60594426) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 91-0897867) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 910897867) | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |