| NPI | 1912855016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW61537468) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW61537468) |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-05-21 |