NPI | 1336834191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-CRM-2311) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-R-2702) |
Enumeration Date | 2023-04-07 |
Last Update Date | 2024-06-14 |