| NPI | 1285992628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L10943) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041C0700X Social Worker, Clinical (Licence: OR L10943) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2024-01-16 |