| NPI | 1669800207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L8585) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: WA LW61029568) | |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2021-12-07 |