| NPI | 1629853635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 20953) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-VFEYIG) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2025-04-15 |