| NPI | 1932609591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHA-R-1840) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-R-47) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2022-05-10 |