| NPI | 1437894441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1465850422) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: CA R1465850422) |
| 373H00000X Day Training/Habilitation Specialist | |
| 373H00000X Day Training/Habilitation Specialist (Licence: CA 000000) | |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2025-09-16 |