| NPI | 1538561386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61510155) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61068036) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61043208) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-04-08 |