| NPI | 1811689979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-3472) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000108444) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 23-CRM-1708) | |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2025-04-14 |