| NPI | 1366952079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 198753) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 8753-R) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2022-02-24 |