| NPI | 1538927686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61321778) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA sc61068906) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |