| NPI | 1780394783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AK 216155) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-12-28 |