NPI | 1669143293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-OSCNUY) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 161635) |
Enumeration Date | 2021-09-23 |
Last Update Date | 2023-09-26 |