| NPI | 1629463831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR c4948) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-09-13) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2022-12-28 |