| NPI | 1417257759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW 60248502) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6333) |
| 1041C0700X Social Worker, Clinical (Licence: CO 1249) | |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2013-08-06 |