| NPI | 1679253009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC61513724) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61451396) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2025-08-27 |