| NPI | 1942884556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP61370922) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61395860) |
| 175T00000X Peer Specialist (Licence: WA CG61395860) | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2024-06-24 |