NPI | 1487245395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-NQHTYC) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 12171) |
172V00000X Community Health Worker | |
Enumeration Date | 2021-02-02 |
Last Update Date | 2024-09-25 |