| NPI | 1851820575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 61015543) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60649297) |
| 101Y00000X Counselor (Licence: WA 60733448) | |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-03-21 |