| NPI | 1730551417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR 25-QMHA-R-7652) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-25-5549) |
| 174400000X Specialist (Licence: OR ls101f8s) | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2026-03-03 |