| NPI | 1407446834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61664507) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61520063) |
| 101Y00000X Counselor | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2025-12-29 |