| NPI | 1720438062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 15-09-24) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHPC-001132) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2023-01-12 |