| NPI | 1730617309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: TX 2205-0425) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB0006908) |
| 171M00000X Case Manager/Care Coordinator (Licence: TX 2205-0425) | |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2025-09-22 |