| NPI | 1750314118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OR C2100) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NCC #79939) |
| 101Y00000X Counselor (Licence: OR CGAC II #G 07-07-08) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR CADC III (#07-12-64)) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2013-08-28 |