| NPI | 1215423488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60587149) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60297508) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2023-03-21 |