NPI | 1407469398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
172V00000X Community Health Worker | |
Enumeration Date | 2020-08-28 |
Last Update Date | 2024-01-09 |