| NPI | 1457195760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC A20203) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC 1732214) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-29724) | |
| 225800000X Recreation Therapist (Licence: NC 3451) | |
| 175T00000X Peer Specialist (Licence: NC 2023-8806-01) | |
| 225800000X Recreation Therapist (Licence: NC 64470) | |
| 376K00000X Nurse's Aide (Licence: NC 228478) | |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-07-29 |