| NPI | 1114512332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 22-09-10539) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR TG-21-055) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2022-10-03 |