| NPI | 1962925123 |
|---|---|
| Former Name | MARY LOU BARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60910944) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00008392) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2024-10-30 |