| NPI | 1194117978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHPC-00920) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2020-04-28 |