| NPI | 1487283933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: APS.001795) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-10-13 |