| NPI | 1043783541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61519240) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CG60960138) | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2025-04-29 |