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 |