| NPI | 1447600739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-04-20263) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 20-QMHA-I-03099) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2024-10-10 |