| NPI | 1891984498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005115) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60174863) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2025-01-05 |