| NPI | 1831431972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60341784) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60278331) |
| 104100000X Social Worker (Licence: WA SC60341784) | |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2015-07-01 |