| NPI | 1356684252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60269721) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60269858) |
| 104100000X Social Worker (Licence: WA SC60269721) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |