| NPI | 1154180263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-INZGJC) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| 373H00000X Day Training/Habilitation Specialist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2026-08-21 |