| NPI | 1528512506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHP-R-1553) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-10-17) |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2023-01-12 |