| NPI | 1841630746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR T-19-444) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 19-QMHA-I-01639) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-01-18 |