| NPI | 1194342261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: SC 0300) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |