| NPI | 1225556095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-01-10061) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-19-379) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-CRM-124) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2023-01-31 |