| NPI | 1831557032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 15-02-21) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2019-06-17 |