| NPI | 1194745323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C1276) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR C1276) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 031156) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-06-28 |