NPI | 1093467193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI SA0823347) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2022-01-20 |
Last Update Date | 2023-02-22 |