| NPI | 1104284900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-05-21) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2018-01-29 |