| NPI | 1316216112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A12216) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 02-11-111) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2021-09-09 |