| NPI | 1710133665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4691) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-05-01) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2021-12-28 |