| NPI | 1043593676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3967) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-03-19) |
| 101YM0800X Counselor, Mental Health (Licence: OR R2252) | |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2022-01-11 |