| NPI | 1427363878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6220) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-12-74) |
| 175T00000X Peer Specialist (Licence: OR 22-CRM-1403) | |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2024-01-15 |