| NPI | 1922875723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 26-03-20711) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 26-QMHA-I-005573) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2026-04-17 |