| NPI | 1568002392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-02-10336) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: OR THW000003996) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2023-03-22 |