| NPI | 1417094129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR QMHA) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 105-11-25) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2025-09-11 |