NPI | 1164133260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-09-01) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-3810) |
175T00000X Peer Specialist | |
Enumeration Date | 2022-12-09 |
Last Update Date | 2023-05-05 |