NPI | 1922893114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMHA-R-6621) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-24-4563) |
175T00000X Peer Specialist (Licence: OR 23-CRM-2733) | |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-04-10 |