| NPI | 1699203851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 19-QMHA-I-00786) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-CRM-119) |
| 175T00000X Peer Specialist (Licence: OR THW000002507) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-04-08 |