| NPI | 1558729350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 20-QMHA-R-0969) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 13-06-19) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2020-07-09 |