| NPI | 1013718410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR pending) |
| Additional Taxonomies | 171R00000X Interpreter (Licence: OR 112422) |
| 174H00000X Health Educator (Licence: 000000) | |
| 175T00000X Peer Specialist (Licence: OR pending) | |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |