| NPI | 1871054973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60956223) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: WA CG60505628) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-05-04 |