NPI | 1154771988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 9315) |
Additional Taxonomies | 175T00000X Peer Specialist |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2016-06-13 |
Last Update Date | 2024-05-29 |