NPI | 1407525512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA DUFAYHMVWRXBJTGQ) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1408741020) |
Enumeration Date | 2021-09-10 |
Last Update Date | 2023-01-09 |