| NPI | 1780320812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A16803) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHP-R-3735) |
| 171M00000X Case Manager/Care Coordinator (Licence: OR 23-QMHA-I-004057) | |
| 172V00000X Community Health Worker (Licence: OR THW000106745) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-08-11 |