NPI | 1821580515 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-04-27) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-18-122) |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2018-05-30 |
Last Update Date | 2019-03-28 |