| NPI | 1851738942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 130342) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 130342) |
| 171M00000X Case Manager/Care Coordinator (Licence: OR 130342) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2013-05-29 |