| NPI | 1750053823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-03-20254) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 20-CRM-116) |
| 101YM0800X Counselor, Mental Health (Licence: OR 22-QMHA-I-003368) | |
| 175T00000X Peer Specialist (Licence: OR THW000104089) | |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2023-05-10 |