| NPI | 1104157981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61124799) |
| 101YP2500X Counselor, Professional (Licence: OR C4559) | |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2021-07-01 |