| NPI | 1316656788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-R-3125) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-21-1217) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-07-13 |