| NPI | 1164010823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: OR ABA-IN-10211255) |
| 171M00000X Case Manager/Care Coordinator (Licence: OR 21-QMHA-I-003193) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 21-QMHA-R-1117) | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2023-03-22 |