| NPI | 1689029365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A13083) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 19-QMHA-I-01324) |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2023-08-01 |