| NPI | 1871957399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60498935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10051267) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2025-11-06 |