| NPI | 1851615256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5993) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L5993) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW9697) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2017-10-23 |