| NPI | 1114479599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-01-10037) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-4488) |
| 175T00000X Peer Specialist (Licence: OR 23-CRM-1940) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2024-06-17 |