| NPI | 1972188456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC CADC-27601) |
| Additional Taxonomies | 171400000X |
| 172V00000X Community Health Worker | |
| 1744R1102X Specialist Research Study | |
| 175T00000X Peer Specialist | |
| 405300000X Prevention Professional (Licence: NC CADC-27601) | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2022-03-14 |