| NPI | 1104451285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1079) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2025-12-23 |