| NPI | 1013345099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60403566) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW60503566) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2023-08-14 |