| NPI | 1134414857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC61072299) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SA60179002) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2025-12-10 |