| NPI | 1235011941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-148) | |
| 175T00000X Peer Specialist (Licence: OR 22-CRM-921) | |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2025-07-23 |