| NPI | 1497298830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW61506943) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO60609278) |
| 1041C0700X Social Worker Clinical (Licence: WA SC61087973) | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2024-02-21 |