| NPI | 1023568490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61271858) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61261902) |
| 1041C0700X Social Worker, Clinical (Licence: NV 9046-C) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2024-02-13 |