| NPI | 1073357851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: OR 24-CRM-3373) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR t-25-6087) |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2025-11-11 |