| NPI | 1043051147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR T-24-4038) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 24-CRM-2881) |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |