| NPI | 1518416452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60878690) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA CO60830157) |
| 101YM0800X Counselor, Mental Health (Licence: WA SC60609080) | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2019-12-17 |