| NPI | 1770161275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-20-451) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR TG-21-036) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-08-30 |