| NPI | 1578383212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-4406) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 25-CRM-4786) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2026-07-09 |