| NPI | 1083942155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60163373) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA SC60480365) |
| 104100000X Social Worker (Licence: NY 078797-1) | |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2018-08-08 |