| NPI | 1548414899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 10-06-57) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-08-21) | |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2019-01-16 |