| NPI | 1568701530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61234578) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61234578) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60145336) | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2024-07-23 |