| NPI | 1093176208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR A4839) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 09-06-63) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2023-03-04 |