| NPI | 1982391082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: ND 2023) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2025-08-18 |