| NPI | 1538836184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-11-20507) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-I-004365) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2026-06-01 |