| NPI | 1982789350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00008724) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00004447) |
| 1041C0700X Social Worker, Clinical (Licence: OR L3496) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-07-12 |