| NPI | 1902541063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHA-R-4687) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-12-14 |