| NPI | 1417578949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16211) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW70049812) |
| 101YM0800X Counselor, Mental Health (Licence: OR L16211) | |
| 101Y00000X Counselor (Licence: OR L16211) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LW70049812) | |
| Enumeration Date | 2020-05-06 |
| Last Update Date | 2025-11-04 |