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