| NPI | 1457897498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 608835798) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60835798) |
| 171M00000X Case Manager/Care Coordinator (Licence: WA LW60835798) | |
| 101YM0800X Counselor, Mental Health (Licence: WA 60738072) | |
| 104100000X Social Worker (Licence: WA 608835798) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61459897) | |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2023-09-12 |