| NPI | 1679231112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L17989) |
| 171M00000X Case Manager/Care Coordinator | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2026-05-21 |