| NPI | 1528744869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61520764) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61452459) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2024-04-16 |