| NPI | 1326681685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 220510417) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2025-01-28 |