| NPI | 1073369567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1570360724) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-ELFWOX) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-07-24 |