| NPI | 1730636515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 174400000X Specialist | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-12-05 |