| NPI | 1174096713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A20715) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS28503) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-01-07 |
| Last Update Date | 2025-05-30 |