| NPI | 1881116572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-10-20) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 20-QMHA-I-03043) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2023-08-25 |