| NPI | 1912487935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60937042) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW008284) |
| 104100000X Social Worker (Licence: SC 11621) | |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2023-01-23 |