| NPI | 1972006856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-2094) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2024-12-03 |