| NPI | 1851682140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP000003365) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60218783) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |