| NPI | 1376193201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-18-312) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-CRM-338) |
| 175T00000X Peer Specialist (Licence: OR THW000003220) | |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |