| NPI | 1275377632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A15539) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-R-5523) |
| 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-R-2910) | |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-09-10 |