| NPI | 1497430268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 5656) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: LA OBHPSS915) |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |