| NPI | 1063209914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 25-10-11640) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-qmha-r-6956) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 25-CRM-II-0400) | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2026-04-09 |