NPI | 1376212241 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA 172V00000X) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 1346528106) |
Enumeration Date | 2021-09-13 |
Last Update Date | 2024-08-16 |