| NPI | 1093402786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 405300000X Prevention Professional (Licence: CA 1A3D57F59E) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1605870325) | |
| 171400000X Health & Wellness Coach (Licence: CA 1A3D57F59E) | |
| 101Y00000X Counselor (Licence: 1A3D57F59E) | |
| 175T00000X Peer Specialist (Licence: CA MPSSHILPDZ) | |
| 171M00000X Case Manager/Care Coordinator (Licence: CA 1A3D57F59E) | |
| 174H00000X Health Educator (Licence: CA 1A3D57F59E) | |
| 252Y00000X Early Intervention Provider Agency | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 1A3D57F59E) | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2026-02-04 |