| NPI | 1356151096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 24-CRM-3618) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-09-05 |