| NPI | 1417780610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1580960924) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA E2994994) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2026-03-20 |