| NPI | 1114067584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW71009) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60118600) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 00005969) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Lci11280418) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2025-10-15 |