| NPI | 1275003873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC60656780) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60656762) |
| 101Y00000X Counselor (Licence: WA MC61249881) | |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2022-01-17 |