NPI | 1003592759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 23-CRM-1675) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: OR THW000106791) |
175T00000X Peer Specialist (Licence: OR THW000106791) | |
Enumeration Date | 2023-06-27 |
Last Update Date | 2023-06-27 |