| NPI | 1285505313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-R-5667) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR 111325) |
| 175T00000X Peer Specialist (Licence: OR 111325) | |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-10-05 |