| NPI | 1548918691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 21-QMHA-I-003185) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 14-CRM-016) |
| 175T00000X Peer Specialist (Licence: OR THW000002882) | |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2023-03-29 |