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 |