| NPI | 1487113262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-CRM-389) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000003411) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2021-12-22 |