NPI | 1073874152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 60132626) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC 60171206) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2012-06-05 |