| NPI | 1578085924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR THW2138) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-09-27 |