| NPI | 1073942587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 15925) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 00068870) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2024-06-17 |