| NPI | 1861970832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61076749) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC60708805) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2021-03-23 |