| NPI | 1215820055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 172A00000X Driver | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-08-05 |