| NPI | 1912756735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 26-01-11753) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 23-CRM-1882) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2026-01-22 |