| NPI | 1023779063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61555139) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61255605) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-01-03 |
| Last Update Date | 2024-06-04 |