| NPI | 1003342155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L11371) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 97763) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-01-08 |