| NPI | 1598318826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-05-23 |