| NPI | 1235608563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60960421) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60170059) |
| 104100000X Social Worker (Licence: WA SC60612362) | |
| 101Y00000X Counselor (Licence: WA SC60612362) | |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2020-01-27 |