| NPI | 1366966244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC MHL0601199) |
| 172V00000X Community Health Worker | |
| 103K00000X Behavior Analyst | |
| 106E00000X Assistant Behavior Analyst | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC MHL0601199) | |
| 374U00000X Home Health Aide (Licence: NC HC3291) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2026-03-27 |