| NPI | 1629600671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SWIA.SC.70142319) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.70142319) | |
| 101Y00000X Counselor (Licence: WA CG61214246) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2026-09-14 |