| NPI | 1609451186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-2338) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-3548) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2023-04-24 |