| NPI | 1811617053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA R1523970923) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 175T00000X Peer Specialist | |
| 175T00000X Peer Specialist (Licence: CA MPSS-SWKMTV) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-05-07 |