| NPI | 1134542004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C3325) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 13-R-16) |
| 101YM0800X Counselor, Mental Health (Licence: OR C3325) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2024-09-30 |