| NPI | 1083492292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A14512) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OR A14512) |
| 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-4446) | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-12-04 |