| NPI | 1710355755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C5099) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-06-08) |
| 101YM0800X Counselor, Mental Health (Licence: OR C5099) | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2018-12-28 |