| NPI | 1023450657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-07-25U) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 07-06-36) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2018-09-05 |