| NPI | 1649623869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-21214) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NC LCAS-21214) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2021-08-02 |