| NPI | 1649853300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci39090623) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2025-07-20 |