| NPI | 1255048112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 15413-RAC) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-RBJPWG) |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-02-13 |