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 |