| NPI | 1467123596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 25-CRM-II-0495) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-R-7149) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2025-11-05 |