| NPI | 1720395809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10651) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 10-03-20) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2022-01-21 |