| NPI | 1477760288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00003111) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006808) |
| 104100000X Social Worker (Licence: WA LW00006768) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |