| NPI | 1831568518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11681) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA SC61019396) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2025-11-04 |