| NPI | 1033351838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR #721) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR #721) |
| 1041S0200X Social Worker, School (Licence: OR #721) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-08-17 |