| NPI | 1417585498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: KY 1170044) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 275316) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2025-10-14 |