| NPI | 1316245152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR L6162) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-06-44) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2019-03-25 |