| NPI | 1720487283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6528) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR A2526) |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2019-06-07 |