| NPI | 1508792821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CDPT.CO.61650059) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SWIA.SC.61673782) |
| Enumeration Date | 2026-06-23 |
| Last Update Date | 2026-06-23 |