| NPI | 1538890215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR A12630) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR A12630) |
| 104100000X Social Worker (Licence: OR A12630) | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |