| NPI | 1982825642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00000965) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006736) |
| 163W00000X Registered Nurse (Licence: WA RN00078923) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |