NPI | 1376880120 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11949) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 14-03-24) | |
171M00000X Case Manager/Care Coordinator (Licence: OR 14-03-24) | |
Enumeration Date | 2013-01-14 |
Last Update Date | 2024-12-10 |