| NPI | 1003550179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16474) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A13468) |
| 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHPC-001334) | |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2025-09-30 |