| NPI | 1023001435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L3381) |
| 1041C0700X Social Worker Clinical (Licence: WA LW00007548) | |
| 101YM0800X Counselor Mental Health (Licence: OR L3381) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2012-09-06 |