NPI | 1477196087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 210710194) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 18-CRM-371) |
Enumeration Date | 2019-10-26 |
Last Update Date | 2023-09-06 |