| NPI | 1841936531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OR 201130008LPN) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-1608) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2025-04-25 |