| NPI | 1033600275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-21-880) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2021-08-09 |