| NPI | 1942443304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006242) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC0004507) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |