| 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 |