NPI | 1053644328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-RJOFHE) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA C19661214) |
Enumeration Date | 2009-09-17 |
Last Update Date | 2024-01-16 |