| NPI | 1538678446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11945) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 172V00000X Community Health Worker | |
| 101Y00000X Counselor | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2024-11-27 |