| NPI | 1588130462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-11-03) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHPC-001392) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-02-02 |