| NPI | 1578040754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 25-08-20624) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 16-CRM-012) |
| 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-R-7080) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2026-01-27 |