| NPI | 1346604238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-09-30044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L11954) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2026-06-03 |