| NPI | 1619454030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60761649) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA 60472656) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2021-02-19 |