| NPI | 1235946146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1594030125) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-YOGPJZ) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2026-01-12 |