| NPI | 1437776481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202001078RN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-25-6007) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2025-11-04 |