| NPI | 1790120376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10318) |
| Additional Taxonomies | 104100000X Social Worker |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical (Licence: OR 4130) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2021-06-01 |