| NPI | 1871989970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60822462) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP61102544) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2023-12-29 |