| NPI | 1316295439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO 60167093) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |