| NPI | 1679056436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-2637) |
| 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-I-004507) | |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2024-07-24 |