| NPI | 1023856630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1553820324) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist (Licence: CA MPSS-FWLYSU) | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |