| NPI | 1053961425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61105074) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61083402) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2021-04-13 |