NPI | 1770259400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103TB0200X Psychologist, Cognitive & Behavioral | |
Enumeration Date | 2021-08-22 |
Last Update Date | 2021-08-22 |