| NPI | 1144606765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8406) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60948495) |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2022-08-23 |