NPI | 1114069192 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2715) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 10-12-22) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2011-10-18 |