| NPI | 1063610152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR CADCI 09-09-33) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 372600000X Adult Companion | |
| 101YM0800X Counselor, Mental Health (Licence: OR MA Counseling Psych) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2016-03-28 |