| NPI | 1306473962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-CRM-185) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR QMHA-I-003366) |
| 175T00000X Peer Specialist (Licence: OR THW000003078) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2022-12-12 |