| NPI | 1760900054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61177805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 10844323-3501) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2023-01-09 |