| NPI | 1952016115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 22-CRM-946) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 171M00000X Case Manager/Care Coordinator (Licence: OR 23-QMHA-R-4489) | |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2025-11-19 |