| NPI | 1568665669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4158) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR 39632) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-06-102U3) | |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: CA 3921) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2023-11-14 |