| NPI | 1760240006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA R1567610724) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA R1567610724) |
| 175T00000X Peer Specialist (Licence: CA MPSS-DMSEUR) | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2025-06-30 |