| NPI | 1215060181 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60279903) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60279903) | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-03-13 | 
| Last Update Date | 2022-06-28 |