| NPI | 1235585332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 16-CRM-217) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 19-QMHA-I-00473) |
| 175T00000X Peer Specialist (Licence: OR THW000001575) | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2020-11-17 |