| NPI | 1851578413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60017776) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00035442) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00002863) | |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2010-08-26 |