| NPI | 1871088534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR QMHA-I-004124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 20-07-20) |
| 101Y00000X Counselor (Licence: QMHA-R-3976) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-01-11 |