| 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 |