NPI | 1952992943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-1396) |
Additional Taxonomies | 101Y00000X Counselor (Licence: OR 22-QMHA-I-003353) |
175T00000X Peer Specialist | |
Enumeration Date | 2021-02-01 |
Last Update Date | 2023-04-03 |