| NPI | 1154045797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA sc61524060) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA cg61357288) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2024-03-28 |