| NPI | 1760065817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: NM 1115) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM CSA0223991) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2024-04-09 |