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 | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 24-04-20412) |
405300000X Prevention Professional (Licence: OR THW000003996) | |
Enumeration Date | 2020-01-09 |
Last Update Date | 2024-06-13 |