| NPI | 1083695142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR L13415) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 121040-3501) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2022-08-08 |