| NPI | 1043638448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C6420) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-12-20128) |
| 101YM0800X Counselor, Mental Health (Licence: OR C6420) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-02-07 |