| NPI | 1164190351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X (Licence: DC 06212021) |
| Additional Taxonomies | 171400000X |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 20180709) | |
| 171W00000X Contractor | |
| 172V00000X Community Health Worker (Licence: MD 09042020) | |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 405300000X Prevention Professional (Licence: MO 163704) | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-07-01 |