| NPI | 1518668870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-2797) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-3646) |
| 172V00000X Community Health Worker (Licence: OR THW000108409) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2024-01-11 |