| NPI | 1801242490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60618605) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60308602) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2018-10-17 |