| NPI | 1023151495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MN 15821) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 15821) |
| 101YM0800X Counselor, Mental Health (Licence: WA LW60312246) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2023-05-30 |