| NPI | 1477209112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DC CACII200001261) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2024-09-03 |