| NPI | 1376690040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60296110) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60296110) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006385) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-10-08 |