| NPI | 1619098035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60469896) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00050205) |
| 101Y00000X Counselor (Licence: WA CG60148885) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60149112) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2016-09-23 |