| NPI | 1679903439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7155) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OR 151747) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2024-10-30 |