| NPI | 1265723365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA SC60586604) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2024-08-21 |