| NPI | 1790337749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 20-07-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-R-2712) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2022-10-07 |