| NPI | 1154464832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00009665) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA RC00021777) |
| 104100000X Social Worker (Licence: WA RC00021777) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2021-03-31 |