| NPI | 1114250032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC60588932) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60190239) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2023-12-05 |