| NPI | 1649049560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA RH0013340624) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-MLEBUO) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-06-17 |