| NPI | 1972085967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61057148) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60805185) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2024-12-03 |