| NPI | 1225203003 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-FMJLUH)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RW0848)  | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-04-23 | 
| Last Update Date | 2023-09-25 |