| NPI | 1639598550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60764675) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CG60433373) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149022529) | |
| 1041C0700X Social Worker, Clinical (Licence: IA 099145) | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2023-09-07 |