| NPI | 1831214683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 1-03522) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: MI M-00492) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2023-03-27 |