| NPI | 1356489736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR CGAC II) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-04-25 |