| NPI | 1285302117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61526303) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61215737) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-05-07 |