| NPI | 1316633290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1501250323) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist (Licence: CA MPSS-PFSHTB) | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-12-21 |