| NPI | 1336893007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR A15457) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 21-10-10255) |
| 175T00000X Peer Specialist (Licence: OR 20-CRM-267) | |
| Enumeration Date | 2022-02-10 |
| Last Update Date | 2024-08-15 |