| NPI | 1558190116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-12-11349) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000108332) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2025-03-03 |