| NPI | 1740480573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CP00004586) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA LW00008015) |
| 101YM0800X Counselor, Mental Health (Licence: WA LW00008015) | |
| 104100000X Social Worker (Licence: WA CP00004586) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |