| NPI | 1487137899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60183852) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SC60728175) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA SC60728175) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2021-04-13 |