| NPI | 1003485962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 175T00000X Peer Specialist | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-10-05 |