| NPI | 1902862659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7738) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: OR L7738) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LW61459551) | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW993070) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2023-11-02 |