| NPI | 1316160294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 95-04-125) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-02-01 |