| NPI | 1255653689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60483694) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 079803) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW60484946) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 20908) | |
| 1041S0200X Social Worker, School (Licence: WA LW60484946) | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2023-02-10 |