| NPI | 1881142610 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR 25-CRM-II-0114) | 
| Enumeration Date | 2016-09-21 | 
| Last Update Date | 2025-06-23 |