| NPI | 1619948312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00006623) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00002380) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH00006741) | |
| 106H00000X Marriage & Family Therapist (Licence: WA LF00001666) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-10-11 |