| NPI | 1841831666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NM 1048) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CTB-2026-0247) | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2026-05-28 |