| NPI | 1639537855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR A12828) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-05-48) | |
| 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-1673) | |
| 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHP-R-0835) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2023-06-23 |