| NPI | 1316597388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 20005) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-TPSIBQ) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-10-23 |