| NPI | 1457732828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60990264) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW71644) |
| 225400000X Rehabilitation Practitioner (Licence: CA Y2862914) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA HAMMOBM073KL) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2021-01-12 |