| NPI | 1790145928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-02-14) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR L10927) |
| 1041C0700X Social Worker, Clinical (Licence: OR L10927) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2025-05-20 |