| NPI | 1881069185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR A12785) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-20-390) |
| 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHP-R-0862) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2021-10-01 |