| NPI | 1801400676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11673) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61100376) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2025-09-08 |