| NPI | 1780340588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61201451) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CO61273725) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2022-10-19 |