| NPI | 1417115833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 172V00000X Community Health Worker (Licence: MI 142899733) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2025-07-14 |