| NPI | 1225324700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR L10451) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: OR A4248) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2023-11-01 |