NPI | 1710641055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: CA Ci40481023) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci40481023) |
175T00000X Peer Specialist (Licence: CA MPSS-LOBMAX) | |
Enumeration Date | 2021-10-22 |
Last Update Date | 2024-04-11 |