| NPI | 1396182713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR R8536) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-03-04) |
| 101YM0800X Counselor, Mental Health (Licence: OR R8536) | |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2024-06-05 |