| NPI | 1598375461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA sc61082899) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-10-13 |