| NPI | 1396347431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: THW000104311) |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2022-11-14 |