| NPI | 1952844615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-02-20139) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-08-26) | |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2022-08-03 |