| NPI | 1568038925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-1979) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NE cpss-075) |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2023-07-06 |