| NPI | 1457163776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-25-4894) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 23-crm-2512) |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |