| NPI | 1609380443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 11133) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 11133) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2025-05-02 |