NPI | 1346371226 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 030743) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1783) |
106H00000X Marriage & Family Therapist (Licence: OR T0499) | |
Enumeration Date | 2007-03-09 |
Last Update Date | 2007-07-08 |