| NPI | 1063976900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A5546) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR A5546) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2025-01-17 |