| NPI | 1093402786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171400000X (Licence: CA 1A3D57F59E) |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist (Licence: CA MPSSHILPDZ) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2025-07-11 |