| NPI | 1801305685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC60990742) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60976459) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2024-05-03 |