| NPI | 1427605260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR t-22-1686) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-03-21 |