| NPI | 1730545211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10359) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR A4910) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2022-01-10 |