| NPI | 1639616857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-R-09) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA CS0010115) |
| 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-R-0030) | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2019-11-25 |