| NPI | 1013385038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61163687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60601136) |
| 1041C0700X Social Worker, Clinical | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60611758) | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2021-10-26 |