| NPI | 1306035977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A1843) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L4442) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2025-09-12 |