| NPI | 1598643249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: OR 92681) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L2108) |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |