| NPI | 1407556343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist (Licence: CA MPSS-WQJVBI) | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2024-06-03 |