| NPI | 1306375563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60819530) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006101) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60491426) | |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-01-17 |