| NPI | 1780009043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7892) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 84173) |
| 101YM0800X Counselor, Mental Health (Licence: OR L7892) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 84173) | |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2024-02-21 |