| NPI | 1699217471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 14-P-10) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R7494) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2025-11-12 |