| NPI | 1922147255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2509) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR CADC I) |
| 101YM0800X Counselor, Mental Health (Licence: OR C2509) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2011-03-09 |