| NPI | 1194060178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC60429378) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA lcsw117517) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2024-01-11 |