| NPI | 1467931527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A14480) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHP-R-2224) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2024-04-22 |