| NPI | 1508230624 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61435243)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW004830)  | 
| Enumeration Date | 2015-12-01 | 
| Last Update Date | 2025-01-09 |