| NPI | 1245995505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61093860) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61245729) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: WA CG61093860) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2022-03-23 |