| NPI | 1689123762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7340) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-07-05) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16 07 05U) | |
| 101YM0800X Counselor, Mental Health (Licence: OR R5962) | |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2023-04-15 |