NPI | 1184132037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci27230419) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
175T00000X Peer Specialist | |
Enumeration Date | 2018-01-12 |
Last Update Date | 2022-02-01 |