| NPI | 1952853228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO 60634541) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 134840121) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2024-06-27 |