| NPI | 1053953661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61580347) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61542242) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CQ61543700) | |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2025-02-24 |