| NPI | 1710217112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 5899-R) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2022-04-18 |