| NPI | 1174087613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-10-10550) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHA-R-1493) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2024-01-03 |