| NPI | 1679677926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR G 08-04-06) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NCC-201117) |
| 101YP2500X Counselor Professional (Licence: OR C1987) | |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2011-03-15 |