| NPI | 1134580731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR or-0042-m) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR or00042-m) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-03-10 |