| NPI | 1629546916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00003499) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60419759) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-07 |