NPI | 1265103428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
175T00000X Peer Specialist (Licence: OK 0001947) | |
Enumeration Date | 2021-09-27 |
Last Update Date | 2022-10-24 |