| NPI | 1891008520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 07-09-60) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 15-CRM-167) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2016-12-14 |