| NPI | 1598361107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2020-12-09 |
| Last Update Date | 2021-05-11 |