| NPI | 1396639977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A16938) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHP-R-3684) |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-09-19 |