| NPI | 1225497696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16446) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 60558671) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2025-05-20 |