| NPI | 1922528827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60814290) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61667342) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2025-09-03 |