| 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 | 2025-04-10 |