| NPI | 1255485751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 36992) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00041301) |
| 1041C0700X Social Worker, Clinical (Licence: OR 4874-LCSW) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2014-11-06 |