| NPI | 1457133084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1516930823) |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2025-01-21 |