| NPI | 1376952796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR L7815) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 17-01-28) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-02-26 |