| NPI | 1508310384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-06-28) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 16-CRM-141) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2017-07-18 |