| NPI | 1902378961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 20-01-37) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-06-28) |
| 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHA-I-003195) | |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2022-04-18 |