| NPI | 1871133231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61025881) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA SC61025881) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |