NPI | 1578952651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci27060319) |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2015-01-13 |
Last Update Date | 2019-05-28 |