NPI | 1992973754 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60131559) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60317284) |
Enumeration Date | 2008-02-14 |
Last Update Date | 2014-08-19 |