| NPI | 1588409460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-80230) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: MT BBH-BHPS-CRT-63652) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2025-07-08 |