| NPI | 1841703501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61423039) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA 61423039) |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2026-07-16 |