| NPI | 1538774153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2023-11-28 |