| NPI | 1639657752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-WYFHCD) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 21410) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2026-03-05 |