| NPI | 1629504865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-04-24) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60691835) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-01-03) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 511732) | |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2019-12-12 |