| NPI | 1437285202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 06-07-15) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 06-07-15) |
| 101Y00000X Counselor (Licence: OR 06-07-15) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-05-11 |