| NPI | 1528847365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-3459) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000109852) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-CRM-2244) | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-09-24 |