| NPI | 1629756317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 17424) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-SZWRPX) |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-10-18 |