| NPI | 1295270908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHA-I-003178) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR CADC-I18-09-36) | |
| 101YM0800X Counselor, Mental Health (Licence: OR 20-QMHA-R-0850) | |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2021-07-29 |