| NPI | 1124405493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0998566) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2025-04-16 |