| NPI | 1528675196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 17087) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-LSQNHD) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2024-01-08 |