| NPI | 1922451129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW60125072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60125072) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2020-09-08 |