| NPI | 1245977172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16318) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR A13529) |
| 104100000X Social Worker | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2025-04-04 |