| NPI | 1477760288 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00006768) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00003111) | 
| 101YM0800X Counselor, Mental Health (Licence: WA LH00006808) | |
| Enumeration Date | 2007-05-17 | 
| Last Update Date | 2025-09-11 |