| NPI | 1336430206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A09940315) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA A09940315) |
| 175T00000X Peer Specialist (Licence: CA MPSS-SGMWUK) | |
| 373H00000X Day Training/Habilitation Specialist (Licence: CA 20-SMHRS-00015) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2025-08-27 |