| NPI | 1306397666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4647) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-16-443) |
| 101YM0800X Counselor, Mental Health (Licence: OR R3226) | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2018-03-17 |