| NPI | 1174971790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 20-QMHA-R-0418) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2020-10-01 |