| NPI | 1700931151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3148) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 000022863RN) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |