| NPI | 1326260282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C1392) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 99-11-44) |
| 101YM0800X Counselor Mental Health (Licence: WA LH00010972) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2013-06-21 |