| NPI | 1922149699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OR L10574) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2021-04-29 |