NPI | 1205123601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-EPOTRN) |
Additional Taxonomies | 175T00000X Peer Specialist |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101Y00000X Counselor | |
103K00000X Behavior Analyst | |
172V00000X Community Health Worker | |
Enumeration Date | 2011-07-06 |
Last Update Date | 2024-01-17 |