| NPI | 1124690045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 21-CRM-735) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-1773) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2023-07-24 |