| NPI | 1861044844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11720) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-12-20235) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2024-03-06 |