| NPI | 1588080667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA SA60356450) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: WA SA60356450) | |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2021-02-09 |