| NPI | 1770329252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-I-005123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-3994) |
| 175T00000X Peer Specialist (Licence: OR THW000111131) | |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2025-11-20 |