| NPI | 1346907102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-1965) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW105859) |
| 175T00000X Peer Specialist (Licence: OR 21-CRM-707) | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2025-03-05 |