| NPI | 1801485370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 17948) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R144350921) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-06-04 |