| NPI | 1912678673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SC61272829) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61220215) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2023-02-24 |