| NPI | 1174179626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC CADC-28683) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NC 14391) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2025-11-04 |