NPI | 1275874042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-05-06) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-02004) |
Enumeration Date | 2013-03-04 |
Last Update Date | 2019-08-16 |