| NPI | 1730108382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR L2765) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L3765) |
| 1041C0700X Social Worker, Clinical (Licence: OR L3765) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-09-11 |