| NPI | 1265084685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-03-10374) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-20-112) |
| 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-02752) | |
| 175T00000X Peer Specialist (Licence: OR THW000003584) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2022-05-18 |