| NPI | 1114329422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A4541) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-12-68) |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist (Licence: OR THW1524) | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2019-04-10 |