| NPI | 1891279949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60893863) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: WA 60832872) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2023-11-09 |