| NPI | 1003439001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 4556) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2024-07-24 |