| NPI | 1013589449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RT1442550526) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2026-05-18 |