| NPI | 1114499324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-12-62) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-00761) |
| 175T00000X Peer Specialist (Licence: OR 11-CRM-131) | |
| 175T00000X Peer Specialist (Licence: OR THW000002674) | |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2019-04-15 |