| NPI | 1972140895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61200594) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61197278) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2021-08-13 |