| NPI | 1437342490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 3338) |
| 225700000X Massage Therapist | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2022-12-06 |