| NPI | 1629867668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-22 |