| NPI | 1982564373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 31072) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: NY 5055) |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2026-05-18 |