| NPI | 1871852681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L7010) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH I.1200470) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2022-03-30 |