| NPI | 1790143584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-P-10) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-R-2116) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2022-11-23 |