| NPI | 1619743234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A15486) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-R-3001) |
| 104100000X Social Worker (Licence: ID LSW-38664) | |
| 104100000X Social Worker (Licence: ID LMSW-44546) | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2025-04-18 |