| NPI | 1568736916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R12402) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YS0200X Counselor, School (Licence: OR 154745) | |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2025-12-31 |