| NPI | 1306440383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 19-CRM-258) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000003660) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-08-26 |