| NPI | 1972703916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60098304) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CP00004054) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00004054) | |
| 101YM0800X Counselor, Mental Health (Licence: WA CP00004054) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LW60098304) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2011-08-03 |