| NPI | 1891262424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61378269) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: WA SC60673984) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-05-12 |