| NPI | 1679094668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61052152) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61592237) |
| 1041C0700X Social Worker, Clinical (Licence: OR L15045) | |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-07-17 |