| NPI | 1023828498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-79607) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: MT BBH-BHPS-CRT-72933) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2026-01-16 |