| NPI | 1922693159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 21-CRM-344) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR THW000104733) |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2022-08-24 |