| NPI | 1982027496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP6276) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH11295) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |