| NPI | 1952961781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP61106980) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61383008) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-03-08 |