NPI | 1881574101 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 37240) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 195000) |
175T00000X Peer Specialist | |
246Y00000X Spec/Tech, Health Info (Licence: MI NA) | |
Enumeration Date | 2025-09-05 |
Last Update Date | 2025-09-05 |