| NPI | 1760022362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 175T00000X Peer Specialist (Licence: OR 19-CRM-080) | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2022-08-25 |