| NPI | 1093075996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C3905) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 15-10-04) | |
| 101YP2500X Counselor Professional (Licence: WA LH60737045) | |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-12-17 |