| NPI | 1336670132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 14-12-08) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2022-07-05 |