| NPI | 1649016817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23808) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NC 2024-12047-01) |
| Enumeration Date | 2024-07-06 |
| Last Update Date | 2025-12-09 |