| NPI | 1356407134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 00-07-41) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C1382) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |