| NPI | 1700355138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10703) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR A5168) |
| 1041C0700X Social Worker, Clinical (Licence: OR A5168) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2021-09-03 |