| NPI | 1447031034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 20625-130) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2024-11-18 |