| NPI | 1477186765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR LCSWL14028) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHP-R-0679) |
| 1041C0700X Social Worker, Clinical (Licence: ID LCSW-42962) | |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2023-06-09 |