| NPI | 1588120448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-05-10151) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 19-CRM-042) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2023-11-27 |