| NPI | 1679335863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-CRM-1059) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000106927) |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |