| NPI | 1154089324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-09-1241) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 112742) |
| 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-II-000211) | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2025-10-29 |