| NPI | 1942074877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-3261) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 25-CRM-4278) |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2025-06-24 |