NPI | 1528450707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60811597) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60636981) |
104100000X Social Worker (Licence: WA CG60509315) | |
Enumeration Date | 2015-02-25 |
Last Update Date | 2022-02-23 |