| NPI | 1508157413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-08-57U) |
| 101YM0800X Counselor, Mental Health (Licence: OR L2891) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2022-06-17 |