| NPI | 1700292596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61094253) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: WA LW61065828) | |
| 1041C0700X Social Worker, Clinical (Licence: OR 13419) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2024-05-02 |