| NPI | 1245699271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 26-QMHA-R-8190) |
| 175T00000X Peer Specialist (Licence: OR 17-CRM-232) | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2026-01-27 |