| NPI | 1861659773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4094) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR L4094) |
| 101YM0800X Counselor, Mental Health (Licence: OR L4094) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-11-10 |