| NPI | 1831807510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 15681) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: MO 14928) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2026-04-06 |