| NPI | 1336968577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-4479) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000109961) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |