| NPI | 1508187238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L6091) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2018-06-07 |