| NPI | 1376730986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4576) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-06-94) |
| 1041C0700X Social Worker, Clinical (Licence: OR 4576) | |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2024-02-13 |