| NPI | 1609357961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L15512) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L15512) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2025-03-25 |