NPI | 1144778903 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR A16584) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
1041C0700X Social Worker, Clinical (Licence: OR A16584) | |
Enumeration Date | 2016-09-21 |
Last Update Date | 2025-08-08 |