| NPI | 1407041775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L7476) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LCS20062) |
| 1041C0700X Social Worker, Clinical (Licence: OR L7476) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2025-10-28 |