| NPI | 1841620184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60832998) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: FL 5751) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60832976) | |
| 1041C0700X Social Worker Clinical (Licence: FL SW11562) | |
| Enumeration Date | 2013-11-23 |
| Last Update Date | 2023-05-15 |