| NPI | 1700506771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-DOVIAM) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 175T00000X Peer Specialist | |
| 225400000X Rehabilitation Practitioner | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-08-08 |