| NPI | 1396444543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225400000X Rehabilitation Practitioner | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA A054310225) | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2025-07-25 |