| NPI | 1306656285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 87881) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |