| 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 |