| NPI | 1811609225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA RT1518650226) |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2026-03-19 |