| NPI | 1538204888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801069979) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00004940) |
| 1041C0700X Social Worker, Clinical (Licence: WA LW00008039) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2024-05-21 |