| NPI | 1184290827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-1959) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-09-21 |