| NPI | 1265998884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61291105) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61291105) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO61174240) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2023-12-19 |