| NPI | 1356702922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHP-R-1253) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR OR-10041-M) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2022-11-15 |