| NPI | 1265827265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10680) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: OR A5399) | |
| 104100000X Social Worker (Licence: OR A5399) | |
| 372600000X Adult Companion | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2022-04-08 |