| NPI | 1508333071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61539180) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60797144) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2024-10-08 |