| NPI | 1689303364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61579711) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61231896) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2025-03-26 |