| NPI | 1023505229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: OR 26-QMHA-R-8319) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 25-08-20621) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-R-44) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2026-02-27 |