| NPI | 1598598724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR T-24-3930) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 25-QMHA-R-6536) |
| 172V00000X Community Health Worker (Licence: OR 113065) | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-04-21 |