| NPI | 1689341828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SWIA.SC.70142583) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO6050566310) |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2026-07-09 |