| NPI | 1407414139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 106S00000X Behavior Technician | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2024-06-30 |