NPI | 1710682497 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-01-10991) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 21-CRM-686) |
Enumeration Date | 2023-04-03 |
Last Update Date | 2025-07-11 |