| NPI | 1245746742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHPC-00828) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 14-CRM-078) |
| 175T00000X Peer Specialist (Licence: OR THW000001036) | |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2020-03-12 |