| NPI | 1720640949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 3017-21) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2022-04-04 |