| NPI | 1487715223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60039665) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60044614) |
| 104100000X Social Worker (Licence: WA LW60039665) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-03-21 |