| NPI | 1144085929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: T-22-2210) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: 23-CRM-2265) |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-08-06 |