NPI | 1528621125 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 172V00000X Community Health Worker |
225400000X Rehabilitation Practitioner | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2019-04-18 |
Last Update Date | 2025-04-30 |