| NPI | 1447425020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1683) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C1683) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-06-106U3) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2012-01-24 |