| NPI | 1336286582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR CSWA-A4071) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 04-03-21) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-12-17 |