| NPI | 1487012605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-07-11) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 07-06-30) |
| 101YM0800X Counselor, Mental Health (Licence: OR 20-QMHA-I-03002) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2022-11-23 |