| NPI | 1194020750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5121) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60111151) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2023-02-08 |