| NPI | 1669049631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14660-RAC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 14660-RAC) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-03-14 |