| NPI | 1649893462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61159713) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 107116) |
| 104100000X Social Worker (Licence: WA SC61075722) | |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2024-02-05 |