| NPI | 1720631435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-01-10615) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-CRM-II-0056) |
| 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHA-I-004481) | |
| 175T00000X Peer Specialist (Licence: OR THW000003691) | |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2024-08-01 |