| NPI | 1548613235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-05-31) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-CRM-II-009) |
| 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-I-003296) | |
| 175T00000X Peer Specialist (Licence: OR THW00002329) | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2023-04-05 |