| NPI | 1760891832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10772) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 1760891832) |
| 1041C0700X Social Worker, Clinical (Licence: OR A5479) | |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2021-11-08 |