NPI | 1861989782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 171400000X Health & Wellness Coach |
171M00000X Case Manager/Care Coordinator | |
172V00000X Community Health Worker | |
175T00000X Peer Specialist | |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-05-13 |