| NPI | 1891410866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 22-CRM-957) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000106701) |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2022-10-11 |