| NPI | 1780956383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC61375468) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61210609) |
| 171M00000X Case Manager/Care Coordinator (Licence: WA CG60267653) | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2025-06-17 |