| NPI | 1750521183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-R-01) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 6249) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 6249) | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2022-02-18 |