NPI | 1861852899 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 13-12-40) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60889395) |
101Y00000X Counselor (Licence: OR 274873) | |
101YP2500X Counselor, Professional (Licence: OR C5348) | |
Enumeration Date | 2016-03-03 |
Last Update Date | 2021-12-17 |