| NPI | 1851725055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L10425) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 1041C0700X Social Worker, Clinical (Licence: OR A4679) | |
| 101YM0800X Counselor, Mental Health (Licence: OR A4679) | |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2023-03-04 |