| NPI | 1598183154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-10-10) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR PS601) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2019-01-24 |