| NPI | 1417433517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 19-08-31) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist (Licence: OR TWH000003179) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2019-10-07 |