| NPI | 1417097676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60453016) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP 60214195) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC 60207228) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-12-01 |