NPI | 1194335273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1368211019) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2020-08-04 |
Last Update Date | 2024-11-14 |