| NPI | 1013387042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-08-20311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-II-000113) |
| 104100000X Social Worker (Licence: OR 14-CRM-076) | |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2023-09-12 |