NPI | 1023475969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A064950924) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
175T00000X Peer Specialist | |
Enumeration Date | 2016-01-22 |
Last Update Date | 2024-09-11 |