NPI | 1255584801 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1169) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 96-10-66) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2019-03-22 |