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 |