| NPI | 1053153882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 101Y00000X Counselor | |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |