| NPI | 1023606852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251B00000X Case Management | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2025-08-14 |