| NPI | 1427463934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60366961) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60408106) |
| 101YP2500X Counselor, Professional (Licence: WA SC60366961) | |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |