| NPI | 1699408914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-2267) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 22-CRM-1123) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-09-19 |