| NPI | 1306994835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1919) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 06-03-19) |
| 106H00000X Marriage & Family Therapist (Licence: OR T0549) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-06-02 |