| NPI | 1851742175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L10482) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-04-13) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-09-28 |