| NPI | 1063933406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC70082088) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60927264) |
| 101Y00000X Counselor (Licence: WA CG60781199) | |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2026-01-20 |