NPI | 1598291197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-01-30056) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHPC-001381) |
104100000X Social Worker (Licence: OR A12755) | |
Enumeration Date | 2017-05-03 |
Last Update Date | 2024-01-08 |