| NPI | 1457028466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61520257) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61189096) |
| 1041C0700X Social Worker, Clinical (Licence: WA SC61189096) | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-07-01 |