NPI | 1922513076 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: WA CO60650873) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60905969) |
101YM0800X Counselor, Mental Health (Licence: WA LH6091224) | |
Enumeration Date | 2017-12-12 |
Last Update Date | 2022-05-23 |