| NPI | 1093278871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-20-090) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: OR 549763) |
| 172V00000X Community Health Worker | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2023-10-26 |