| NPI | 1629243217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2159) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C2159) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR C2159) | |
| 101Y00000X Counselor (Licence: OR C2159) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2016-11-30 |