| NPI | 1689802688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L16453) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW63201) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2026-05-26 |