| NPI | 1992037618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61495966) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101Y00000X Counselor | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2024-08-16 |