NPI | 1538561386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61510155) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61043208) | |
101Y00000X Counselor (Licence: WA SC61068036) | |
Enumeration Date | 2014-09-24 |
Last Update Date | 2024-07-31 |