| NPI | 1124648902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-3213) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 25-CRM-II-0423) |
| 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-4753) | |
| 101Y00000X Counselor (Licence: OR TG-25-351) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2026-01-16 |