| 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 |