| NPI | 1043747710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16602) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60035051) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2025-07-17 |