| NPI | 1306228481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR 19-QMHPC-00550) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: OR 201502468RN) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2019-07-11 |