| 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 |