| NPI | 1952989956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 21-CRM-428) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 257467) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T221364) | |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-11-10 |