| NPI | 1093931370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHPC-00255) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-03-69) |
| 104100000X Social Worker (Licence: OR A10421) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2021-07-30 |