| NPI | 1578210159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-3205) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR TG-23-199) |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2024-02-12 |