| NPI | 1861884470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60098046) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60813453) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2020-12-01 |