NPI | 1669695672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60815976) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW60815976) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00001675) | |
Enumeration Date | 2007-04-10 |
Last Update Date | 2022-11-18 |