| NPI | 1891102562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L7417) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR L7417) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2022-06-06 |