| NPI | 1952561268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00006306) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60673279) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2017-05-24 |