| NPI | 1871875070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L6075) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 1041C0700X Social Worker, Clinical (Licence: OR L6075) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2015-12-15 |