| 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 |