| NPI | 1184292088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA VQGWOSLHPKFEIYNZ) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA r1297330318) |
| 172V00000X Community Health Worker (Licence: CA VQGWOSLHPKFEIYNZ) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2024-01-11 |