| NPI | 1073127775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.008106) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00005466) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001620) | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |