NPI | 1043051147 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR T-24-4038) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 24-CRM-2881) |
Enumeration Date | 2024-06-03 |
Last Update Date | 2024-06-03 |