| NPI | 1992980809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005142) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00045742) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |