| NPI | 1962001487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60733063) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-02-21 |