| NPI | 1306517420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-01-10621) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-CRM-891) |
| 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-3855) | |
| 175T00000X Peer Specialist (Licence: OR THW000106531) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-07-17 |