| NPI | 1922579960 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW61583853) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: WA LW61583853) | 
| 171M00000X Case Manager/Care Coordinator (Licence: 60897179) | |
| Enumeration Date | 2018-12-17 | 
| Last Update Date | 2025-06-05 |