| NPI | 1780130690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR A14367) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-09-30) |
| 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHP-R-2079) | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-06-13 |