| NPI | 1659689420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4479) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 09-12-49) |
| 171M00000X Case Manager/Care Coordinator (Licence: OR C4479) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2026-02-19 |