| NPI | 1972229771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 24-05-11104) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 23-CRM-1780) |
| 101Y00000X Counselor (Licence: OR TG-23-191) | |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-05-13 |