| NPI | 1235464504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L8032) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 1309-50) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2020-02-03 |