| NPI | 1003579194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R7876) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2023-01-09 |