| NPI | 1053813758 | 
|---|---|
| Former Name | JAMIE BARTOSZ | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-3930) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-R-6536) | 
| 175T00000X Peer Specialist (Licence: OR 17-CRM-235) | |
| Enumeration Date | 2018-03-08 | 
| Last Update Date | 2025-04-17 |