| NPI | 1124340625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist (Licence: CA MPSS-ZGTAUF) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2025-03-27 |