| NPI | 1205451507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61097256) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61062015) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2021-03-19 |