| NPI | 1760050355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MSPSS-BLQECP) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2024-09-12 |