| NPI | 1871064311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11849) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 18-04-05) |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2024-10-07 |