| NPI | 1720767569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 28450) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NY 5383) |
| 101YP1600X Counselor, Pastoral (Licence: NY EXEMPT) | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-07-17 |