| NPI | 1760240006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci51460626) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA MPSS-DMSEUR) |
| 171M00000X Case Manager/Care Coordinator (Licence: CA Ci51460626) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2026-06-15 |