| NPI | 1891157301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: UT 8452066-3501) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: UT 8452066-6006) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-12-20 |