| NPI | 1932216678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60673720) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA cp00002406) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2022-02-04 |