| NPI | 1164199121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SWIA.SC.61214795) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA SWIA.SC.61214795) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2023-09-16 |