| NPI | 1629730320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-21-1079) |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2023-10-27 |