| NPI | 1396311056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 23-QMHA-II-000170) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-09-20329) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2025-12-05 |