| NPI | 1891684858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHPC-001579) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: T-25-4880) |
| 175T00000X Peer Specialist (Licence: OR 23-CRM-1889) | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |