| NPI | 1740628932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61487883) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA co60247587) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC61486241) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2025-12-01 |