| NPI | 1811630361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-03-11057) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-CRM-II-0221) |
| 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-R-6749) | |
| 175T00000X Peer Specialist (Licence: OR THW000106154) | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2025-03-31 |