| NPI | 1629504865 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-04-24) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60691835) | 
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 16-01-03) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 511732) | |
| 175T00000X Peer Specialist (Licence: OR 25-CRM-4605) | |
| Enumeration Date | 2017-05-09 | 
| Last Update Date | 2025-07-16 |