| NPI | 1477391654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 175T00000X Peer Specialist | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |