| NPI | 1780065664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4539) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-12-16) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2024-01-11 |