| NPI | 1053874610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2025-07-06 |