| NPI | 1558846618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA sc60671894) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60010883) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60671894) | |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2019-10-21 |