| NPI | 1871148031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NV 06687I) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2021-05-11 |