| NPI | 1649464629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60146784) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00058036) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60146784) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60202571) | |
| 104100000X Social Worker (Licence: WA SC60202439) | |
| 376K00000X Nurse's Aide (Licence: WA NA60192519) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2011-01-16 |