| NPI | 1609118124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60751695) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60321390) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60320701) | |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2021-04-07 |