| NPI | 1871650515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60090854) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LW60090854) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP00006445) | |
| 1041C0700X Social Worker Clinical (Licence: WA LW60090854) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-09-24 |