| NPI | 1508214834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10797) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L6909) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2026-02-05 |