| NPI | 1578669339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4240) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OR A1706) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-08-04 |