NPI | 1407211956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-06-02) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-R-2997) |
Enumeration Date | 2015-12-29 |
Last Update Date | 2023-08-28 |