| NPI | 1467955203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Bii00530821) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA Bii00530821) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2023-05-30 |