| NPI | 1245777457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-03-30067) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHPC-001233) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2024-03-25 |