| NPI | 1861717332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 10-12-80) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006104) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2011-06-28 |