| NPI | 1386277150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 25-03-11415) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR 24-QMHA-I-004213) |
| 175T00000X Peer Specialist (Licence: OR 20-CRM-007) | |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2025-03-04 |