| NPI | 1962878587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61004872) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60553755) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2019-10-15 |