| NPI | 1629318738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA LS05051221) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-HTQP96) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-02-26 |
| Last Update Date | 2025-09-11 |