| NPI | 1154605228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6451) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR L6541) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2024-08-27 |